Individual
MISS CHANTAL JOCELYNE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
(413) 538-9757
Mailing address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
(413) 538-9757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13114
MA
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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